What the CQC found at 202 Weston Road

Inspectors found that people were supported to eat and drink enough. Food preferences and how people liked to eat were recorded.

“People were supported to eat and drink enough to maintain a balanced diet.” from the report

The provider completed checks before employing staff, which helped assess whether they were suitable to work at the home.

“People were supported by staff who were safely recruited to work at the home.” from the report

People could receive visitors without restrictions during the inspection.

“People were able to receive visitors without restrictions in line with best practice guidance.” from the report

After inspectors raised concerns, the provider put protocols in place for as-required medicines and completed further building and safety checks.

“Following our first day of inspection we requested the provider took action to ensure the required protocols were in place” from the report

Some health and behaviour-related risks did not have clear, up-to-date guidance. An incident occurred after staff did not follow the protocol for a specific health need.

“This placed the person at risk of harm.” from the report

Medicine administration records had missing signatures. There were no protocols for some as-required medicines, and a broken thermometer was not replaced.

“People's medicine administration records (MAR) contained missing signatures, which meant we could not be assured people had received their medicines as prescribed.” from the report

Mould, rust, strong smells and incomplete cleaning schedules were found. One bathroom was out of use, and the layout did not always meet people's needs.

“People were not always protected from the risk of infection as staff were not consistently following safe infection prevention and control practices.” from the report

Some staff said they lacked suitable training, especially for behaviours they found difficult to manage. Inspectors heard shouting and saw people being told to be quiet.

“Staff approach to supporting people during incidents was not effective.” from the report

There was little evidence of meaningful activities or support to develop people's independence. Inspectors saw people sitting for long periods while staff talked elsewhere.

“There was no record of the progress or completion of this goal.” from the report

There was no registered manager in post and oversight was not robust. Audits identified problems but did not consistently lead to action or learning.

“The provider did not have an effective management structure.” from the report